Therapists in 14850

Photo of Adam R. Krantweiss, Psychologist, PhD
Adam R. Krantweiss
Psychologist, PhD
Ithaca, NY 14850
I have worked as a clinical psychologist since 2004. Originally from the NYC metropolitan area, I have lived in upstate NY for many years. My approach to psychotherapy is tailored to both presenting problems and clients’ interest in exploring questions. Sometimes, short-term and goal-directed psychotherapy is the best path, while at other times, a longer self-exploration is more helpful for self-seeing. I will meet you at your starting point and try to help you gain clarity and understanding into your questions, with the goal of helping you overcome the obstacles that keep you stuck in a situation or mindset.
I have worked as a clinical psychologist since 2004. Originally from the NYC metropolitan area, I have lived in upstate NY for many years. My approach to psychotherapy is tailored to both presenting problems and clients’ interest in exploring questions. Sometimes, short-term and goal-directed psychotherapy is the best path, while at other times, a longer self-exploration is more helpful for self-seeing. I will meet you at your starting point and try to help you gain clarity and understanding into your questions, with the goal of helping you overcome the obstacles that keep you stuck in a situation or mindset.
(607) 275-5232 View (607) 275-5232
Photo of Isabella Cicconi, Clinical Social Work/Therapist, LCSW
Isabella Cicconi
Clinical Social Work/Therapist, LCSW
5 Endorsed
Ithaca, NY 14850
I am an upbeat therapist with a passion for helping children, adolescents, young adults, and families navigate through life's challenges and transitions. My clients are typically seeking support in overcoming trauma (PTSD), managing stress, anxiety, depression, ADHD, engaging in gender exploration, identify as LGBTQIA+ youth, or adjusting to life transitions. When working with my clients and families I recognize the unique challenges and opportunities each developmental stage presents. My trauma-informed approach ensures that everyone feels heard, validated, and supported.
I am an upbeat therapist with a passion for helping children, adolescents, young adults, and families navigate through life's challenges and transitions. My clients are typically seeking support in overcoming trauma (PTSD), managing stress, anxiety, depression, ADHD, engaging in gender exploration, identify as LGBTQIA+ youth, or adjusting to life transitions. When working with my clients and families I recognize the unique challenges and opportunities each developmental stage presents. My trauma-informed approach ensures that everyone feels heard, validated, and supported.
(607) 260-3100 View (607) 260-3100
Photo of Colleen Colbert, Psychologist, PsyD
Colleen Colbert
Psychologist, PsyD
1 Endorsed
Ithaca, NY 14850
I am a licensed psychologist who has practices in New York State both upstate and in the metropolitan New York area for many years and in Rhode Island for some time. I also have graduate degrees in the field of education and have been a teacher prior to my years as a therapist. My practice includes expertise in a wide variety of areas and ages including adults and have a special interest in marital work and couples sessions.
I am a licensed psychologist who has practices in New York State both upstate and in the metropolitan New York area for many years and in Rhode Island for some time. I also have graduate degrees in the field of education and have been a teacher prior to my years as a therapist. My practice includes expertise in a wide variety of areas and ages including adults and have a special interest in marital work and couples sessions.
(914) 671-2750 View (914) 671-2750
Photo of John Klenchik, Clinical Social Work/Therapist, LMSW
John Klenchik
Clinical Social Work/Therapist, LMSW
Ithaca, NY 14850
Each individual has unique circumstances and needs and I work with each client to get to the core of their specific issues, to help them establish the life they want and become more emotionally healthy and stable. My practice includes children, teens, adults, couples and families. I work with youth who have behavioral and emotional issues, helping them to learn how to best express their feelings and needs. I also work with adults who have a variety of personal and family issues and do family counseling and mediation. I have over 15 years experience working with individuals with addiction, their families and related issues.
Each individual has unique circumstances and needs and I work with each client to get to the core of their specific issues, to help them establish the life they want and become more emotionally healthy and stable. My practice includes children, teens, adults, couples and families. I work with youth who have behavioral and emotional issues, helping them to learn how to best express their feelings and needs. I also work with adults who have a variety of personal and family issues and do family counseling and mediation. I have over 15 years experience working with individuals with addiction, their families and related issues.
(607) 275-5749 View (607) 275-5749
Photo of Sarah Markowitz, Psychologist, PhD
Sarah Markowitz
Psychologist, PhD
3 Endorsed
Ithaca, NY 14850
I work with people who feel overwhelmed, stuck, or frustrated by anxiety, OCD, trauma, ADHD, or the ongoing stress of managing chronic illness. Many of my clients are high-functioning on the outside but feel exhausted, self-critical, or trapped in patterns that no longer serve them. They want relief, clarity, and practical tools—but also want therapy to feel purposeful and aligned with their values. Using CBT and ACT, I help clients understand what’s driving their distress, build effective coping skills, and move toward lives that feel more balanced, meaningful, and intentional.
I work with people who feel overwhelmed, stuck, or frustrated by anxiety, OCD, trauma, ADHD, or the ongoing stress of managing chronic illness. Many of my clients are high-functioning on the outside but feel exhausted, self-critical, or trapped in patterns that no longer serve them. They want relief, clarity, and practical tools—but also want therapy to feel purposeful and aligned with their values. Using CBT and ACT, I help clients understand what’s driving their distress, build effective coping skills, and move toward lives that feel more balanced, meaningful, and intentional.
(607) 260-3100 View (607) 260-3100
Photo of Ellen Peterson, Clinical Social Work/Therapist, LCSW, CHT
Ellen Peterson
Clinical Social Work/Therapist, LCSW, CHT
Ithaca, NY 14850
Life is to be enjoyed, not endured. Let me help you move from struggle to ease both emotionally and financially. As the Joy Therapist, my focus is to help you to heal the past, embrace the present and live more fully. My services are unique in that I can help you identify the core issues that underly depression, anxiety, financial struggles, relationship issues, work conflicts and more. You will see a difference in as little as three sessions. Your life is about to Change!
Life is to be enjoyed, not endured. Let me help you move from struggle to ease both emotionally and financially. As the Joy Therapist, my focus is to help you to heal the past, embrace the present and live more fully. My services are unique in that I can help you identify the core issues that underly depression, anxiety, financial struggles, relationship issues, work conflicts and more. You will see a difference in as little as three sessions. Your life is about to Change!
(607) 208-7836 View (607) 208-7836
Photo of Catherine Shane, Licensed Professional Counselor, MA, LMHC
Catherine Shane
Licensed Professional Counselor, MA, LMHC
Ithaca, NY 14850
Therapy is about exploring where you are and where you want to go. It's about envisioning the life you want and understanding what's holding you back. Sometimes we get so caught up in our stories, we forget that we can change. Yet we are so resilient! I love helping people befriend themselves and celebrate all of who they are. Together we can face your most trying moments with grace and integrity. We can identify obstacles, and explore practical solutions. I value giving you the support and perspective you need to feel grounded and whole.
Therapy is about exploring where you are and where you want to go. It's about envisioning the life you want and understanding what's holding you back. Sometimes we get so caught up in our stories, we forget that we can change. Yet we are so resilient! I love helping people befriend themselves and celebrate all of who they are. Together we can face your most trying moments with grace and integrity. We can identify obstacles, and explore practical solutions. I value giving you the support and perspective you need to feel grounded and whole.
(607) 399-3523 View (607) 399-3523
Photo of Dr. Stefanie Greenberg Mokhtarian, Psychologist, PhD
Dr. Stefanie Greenberg Mokhtarian
Psychologist, PhD
Ithaca, NY 14850
I realize it can be challenging trying to find a therapist who feels like a good match. I strive to create a warm, authentic, and compassionate space for us to explore what is present for you and where you may feel stuck. I hope our conversations leave you feeling seen, heard, understood, and empowered with insights and tools. I often work with clients on stress, anxiety, worries, relationship issues, aging, grief/loss, parenting, self-esteem, burnout, perfectionism, life transitions, work-life balance, and emotional eating. I would be honored to join your path and help you find greater ease and joy aligned with your values.
I realize it can be challenging trying to find a therapist who feels like a good match. I strive to create a warm, authentic, and compassionate space for us to explore what is present for you and where you may feel stuck. I hope our conversations leave you feeling seen, heard, understood, and empowered with insights and tools. I often work with clients on stress, anxiety, worries, relationship issues, aging, grief/loss, parenting, self-esteem, burnout, perfectionism, life transitions, work-life balance, and emotional eating. I would be honored to join your path and help you find greater ease and joy aligned with your values.
(607) 208-7875 View (607) 208-7875
Photo of Jamie Sorrentino, Clinical Social Work/Therapist, LCSW-R
Jamie Sorrentino
Clinical Social Work/Therapist, LCSW-R
2 Endorsed
Ithaca, NY 14850
I am a licensed clinical social worker with over 20 years of experience. I specialize in working with college-aged students, adolescents, and adults, focusing on a relational, collaborative approach that values curiosity, authenticity, and compassionate care. I integrate evidence-based practices including Acceptance and Commitment Therapy (ACT), mindfulness-based strategies, and Solution-Focused Therapy.
I am a licensed clinical social worker with over 20 years of experience. I specialize in working with college-aged students, adolescents, and adults, focusing on a relational, collaborative approach that values curiosity, authenticity, and compassionate care. I integrate evidence-based practices including Acceptance and Commitment Therapy (ACT), mindfulness-based strategies, and Solution-Focused Therapy.
(607) 862-5788 View (607) 862-5788
Photo of Rachel Ash, Clinical Social Work/Therapist, LCSW
Rachel Ash
Clinical Social Work/Therapist, LCSW
1 Endorsed
Ithaca, NY 14850
Do you feel drained, overwhelmed, lost, ashamed or stuck? Whatever it is that you are feeling or experiencing, I see you. I would like to offer you the space to reflect, explore and feel heard. I provide psychotherapy in a safe, peaceful setting to help you find stability, gain insight, feel relief, and make change.
Do you feel drained, overwhelmed, lost, ashamed or stuck? Whatever it is that you are feeling or experiencing, I see you. I would like to offer you the space to reflect, explore and feel heard. I provide psychotherapy in a safe, peaceful setting to help you find stability, gain insight, feel relief, and make change.
(607) 270-3800 View (607) 270-3800
Photo of Adam Scholl - Tompkins Community Counseling, Clinical Social Work/Therapist, LCSW-R
Tompkins Community Counseling
Clinical Social Work/Therapist, LCSW-R
1 Endorsed
Ithaca, NY 14850
Hi, My name is Adam Scholl, LCSW-R and I own a MH clinic in downtown Ithaca. Tompkins Community Counseling is a small, family owned mental health clinic located in downtown Ithaca. All of our clinicians have over 25 years experience and each offers a variety of specialties to treat various mental health concerns. We are currently accepting new referrals. We are in-network with Aetna insurance, and we submit claims for our clients with other insurance policies. We do this because it helps support our mission of removing barriers between you and counseling.
Hi, My name is Adam Scholl, LCSW-R and I own a MH clinic in downtown Ithaca. Tompkins Community Counseling is a small, family owned mental health clinic located in downtown Ithaca. All of our clinicians have over 25 years experience and each offers a variety of specialties to treat various mental health concerns. We are currently accepting new referrals. We are in-network with Aetna insurance, and we submit claims for our clients with other insurance policies. We do this because it helps support our mission of removing barriers between you and counseling.
(607) 208-7723 View (607) 208-7723
Photo of Ellen Maranca, Clinical Social Work/Therapist, LCSW-R, RPT-S
Ellen Maranca
Clinical Social Work/Therapist, LCSW-R, RPT-S
1 Endorsed
Ithaca, NY 14850
Accepting New Clients Winter/Spring 2026! - Hello! Are you a student, professional, or parent, looking for some support? I work with adults and children, and can help with the stressors of daily life as well as anxiety, grief/loss, trauma/abuse, and phobias. I enjoy working with people from all backgrounds, and have helped numerous adults and families to heal, reduce symptoms, and essentially lead a more fulfilling life. My approach is very individualized, and I tend to put clients at ease right from the start, so feel free to reach out!
Accepting New Clients Winter/Spring 2026! - Hello! Are you a student, professional, or parent, looking for some support? I work with adults and children, and can help with the stressors of daily life as well as anxiety, grief/loss, trauma/abuse, and phobias. I enjoy working with people from all backgrounds, and have helped numerous adults and families to heal, reduce symptoms, and essentially lead a more fulfilling life. My approach is very individualized, and I tend to put clients at ease right from the start, so feel free to reach out!
(607) 304-3723 View (607) 304-3723
Photo of Lauren Haas-Sulzer, Clinical Social Work/Therapist, LMSW
Lauren Haas-Sulzer
Clinical Social Work/Therapist, LMSW
2 Endorsed
Ithaca, NY 14850
I provide collaborative, evidence-based care to adults, adolescents, and children. My goal is to help you cultivate more peace, stability, and joy in your life. Together, we can work toward reducing stress, fostering emotional balance, and creating meaningful connections that support your overall well-being. Whether you're seeking clarity during a challenging time or looking to make lasting changes, I am here to support you on your journey to a more fulfilling and harmonious life. I'm committed to being an anti-racist, anti-oppressive, LGBTQIA+ affirming practitioner who integrates social justice into my practice whenever possible.
I provide collaborative, evidence-based care to adults, adolescents, and children. My goal is to help you cultivate more peace, stability, and joy in your life. Together, we can work toward reducing stress, fostering emotional balance, and creating meaningful connections that support your overall well-being. Whether you're seeking clarity during a challenging time or looking to make lasting changes, I am here to support you on your journey to a more fulfilling and harmonious life. I'm committed to being an anti-racist, anti-oppressive, LGBTQIA+ affirming practitioner who integrates social justice into my practice whenever possible.
(607) 260-3100 View (607) 260-3100
Photo of Madeline Wilcox, Clinical Social Work/Therapist, LCSW
Madeline Wilcox
Clinical Social Work/Therapist, LCSW
3 Endorsed
Ithaca, NY 14850
You may be coming to therapy with a clear goal in mind, or you may simply know that you’re feeling stuck, overwhelmed, or unsure of what’s next. Together, we'll explore what feels most pressing, uncover patterns that may be holding you back, and consider new ways of relating to yourself and others. My role is to support you in gaining clarity, cultivating self-compassion, and fostering a sense of empowerment as you move toward the kind of change that feels meaningful for you. Therapy with me can include tools that nurture a sense of hope, helping you connect with your own capacity for healing and transformation.
You may be coming to therapy with a clear goal in mind, or you may simply know that you’re feeling stuck, overwhelmed, or unsure of what’s next. Together, we'll explore what feels most pressing, uncover patterns that may be holding you back, and consider new ways of relating to yourself and others. My role is to support you in gaining clarity, cultivating self-compassion, and fostering a sense of empowerment as you move toward the kind of change that feels meaningful for you. Therapy with me can include tools that nurture a sense of hope, helping you connect with your own capacity for healing and transformation.
(607) 601-2672 View (607) 601-2672
Photo of Tim Johnston, Clinical Social Work/Therapist, LMSW
Tim Johnston
Clinical Social Work/Therapist, LMSW
2 Endorsed
Ithaca, NY 14850
2/4/26 update: I am currently not accepting new clients, however other clinicians at MindWell have availability. If you message me I'm happy to connect you to our intake team. Hello and welcome! My name is Tim (he/him) - I am a Licensed Master Social Worker at MindWell where I work with a wide variety of individuals, couples, and polycules. I start from the perspective that you are the expert on your goals, and my role is to guide, coach, and support you in making the changes you want to see in your life and relationships. Please look below to learn more about my specialties and areas of expertise.
2/4/26 update: I am currently not accepting new clients, however other clinicians at MindWell have availability. If you message me I'm happy to connect you to our intake team. Hello and welcome! My name is Tim (he/him) - I am a Licensed Master Social Worker at MindWell where I work with a wide variety of individuals, couples, and polycules. I start from the perspective that you are the expert on your goals, and my role is to guide, coach, and support you in making the changes you want to see in your life and relationships. Please look below to learn more about my specialties and areas of expertise.
(607) 536-9998 x2 View (607) 536-9998 x2
Photo of Morgan Herron, Clinical Social Work/Therapist, LCSW
Morgan Herron
Clinical Social Work/Therapist, LCSW
2 Endorsed
Ithaca, NY 14850
I work best with clients who feel emotionally overwhelmed, stuck in intense patterns, or struggling to balance their inner experiences with daily life. Many of the people I support are navigating mood or anxiety symptoms, trauma, substance use concerns, identity exploration, or relationship challenges. They want practical tools, deeper self-understanding, and a stronger sense of emotional balance. I value collaboration and authenticity in therapy, and I aim to create a supportive space where you can build concrete skills, strengthen relationships, and move toward a life that feels more grounded, aligned, and sustainable.
I work best with clients who feel emotionally overwhelmed, stuck in intense patterns, or struggling to balance their inner experiences with daily life. Many of the people I support are navigating mood or anxiety symptoms, trauma, substance use concerns, identity exploration, or relationship challenges. They want practical tools, deeper self-understanding, and a stronger sense of emotional balance. I value collaboration and authenticity in therapy, and I aim to create a supportive space where you can build concrete skills, strengthen relationships, and move toward a life that feels more grounded, aligned, and sustainable.
(607) 260-3100 View (607) 260-3100
Photo of Cecily Anders, Psychologist, PsyD
Cecily Anders
Psychologist, PsyD
Ithaca, NY 14850
Therapy is a journey where you learn more about yourself, your internal experience, and your loved ones in order to change your life based on your own goals and values. I can help you and/or other members of your family gain flexibility in your thoughts and actions through experiential skill development. At times, therapy can involve vulnerability and emotional expression; while at other times, it can be playful and enlightening. My goal is to create a warm and safe environment where emotions, thoughts, memories, and other internal experiences can be explored with compassion and understanding.
Therapy is a journey where you learn more about yourself, your internal experience, and your loved ones in order to change your life based on your own goals and values. I can help you and/or other members of your family gain flexibility in your thoughts and actions through experiential skill development. At times, therapy can involve vulnerability and emotional expression; while at other times, it can be playful and enlightening. My goal is to create a warm and safe environment where emotions, thoughts, memories, and other internal experiences can be explored with compassion and understanding.
(607) 280-0465 View (607) 280-0465
Photo of Mark W Lawson, Psychologist, PhD
Mark W Lawson
Psychologist, PhD
Ithaca, NY 14850
I treat adults in various life transitions who have problems with anxiety, depressed mood, relationship patterns, who want to improve their sense of wellbeing or simply finding meaning and purpose.
I treat adults in various life transitions who have problems with anxiety, depressed mood, relationship patterns, who want to improve their sense of wellbeing or simply finding meaning and purpose.
(607) 367-7850 View (607) 367-7850
Photo of Carrie G Ernhout, Marriage & Family Therapist, PhD, MA, LMFT, LMHC, RYT
Carrie G Ernhout
Marriage & Family Therapist, PhD, MA, LMFT, LMHC, RYT
3 Endorsed
Ithaca, NY 14850
Dr. Carrie Ernhout is a psychologist, a licensed marriage and family therapist, a licensed mental health counselor, and a registered yoga teacher. She has considerable clinical experience across multiple settings and enjoys working with adolescents, adults, and couples. Carrie tailors her approach to each client based on their needs, goals, and unique strengths. Practicing primarily from a psychodynamic framework, she may draw from various therapeutic interventions based on your particular needs.
Dr. Carrie Ernhout is a psychologist, a licensed marriage and family therapist, a licensed mental health counselor, and a registered yoga teacher. She has considerable clinical experience across multiple settings and enjoys working with adolescents, adults, and couples. Carrie tailors her approach to each client based on their needs, goals, and unique strengths. Practicing primarily from a psychodynamic framework, she may draw from various therapeutic interventions based on your particular needs.
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Photo of Flannery Hysjulien, Clinical Social Work/Therapist, MSW, LCSW
Flannery Hysjulien
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Ithaca, NY 14850
Psychotherapy is a process of collaboration, discovery, acceptance, and change. Together, we will explore the many factors impacting your life and your experiences. We will make space for you to listen inward and reflect. You will be encouraged to clarify your values and set clear and achievable goals. Along the way, I will offer feedback, encouragement, and support. We will observe your current patterns, identify your strengths and resources, and explore a wide variety of strategies for healing and growth.
Psychotherapy is a process of collaboration, discovery, acceptance, and change. Together, we will explore the many factors impacting your life and your experiences. We will make space for you to listen inward and reflect. You will be encouraged to clarify your values and set clear and achievable goals. Along the way, I will offer feedback, encouragement, and support. We will observe your current patterns, identify your strengths and resources, and explore a wide variety of strategies for healing and growth.
(607) 882-6040 View (607) 882-6040

See more therapy options for 14850

How does your Therapist compare?

Number of Therapists in 14850

300+

Average cost per session

$150

Therapists in 14850 who prioritize treating:

91% Anxiety
88% Depression
79% Relationship Issues
71% Stress
69% Trauma and PTSD
69% Self Esteem
57% Grief

Average years in practice

14 Years

Top 3 insurances accepted

93% Aetna
58% Cigna and Evernorth
43% UnitedHealthcare UHC | UBH

How Therapists in 14850 see their clients

53% Online Only
47% In Person and Online

Gender breakdown

83% Female
15% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 14850?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.